Use of a Reader Response Postcard for Workers Notified of Results of Epidemiologic Studies Conducted by the National Institute for Occupational Safety and Health (NIOSH)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NIOSH 0920-0566 Reinstatement Attachment 5.docm	Supplementary Document	Uploaded 2007-11-14	Available
NIOSH 0920-0566 60 Day FRN 0920-0566Attachment 4.pdf	Supplementary Document	Uploaded 2007-11-14	Available
NIOSH 0920-0566 REINSTATEMENT Attachment 1.doc	Supplementary Document	Uploaded 2007-11-14	Available
NIOSH 0920-0566 Reinstatement Attachment 3.doc	Supplementary Document	Uploaded 2007-11-14	Available
NIOSH 0920-0566 Reinstatement Attachment 2.docm	Supplementary Document	Uploaded 2007-11-14	Available
NIOSH 0920-0566 Reinstatement SS 11.14.07.docm	Supporting Statement A	Uploaded 2007-11-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7019	Use of a Reader Response Postcard for Workers Notified of Results of Epidemiologic Studies Conducted by NIOSH	Other-Response Postcard	Modified

ICR Details

OMB Control No: 0920-0566	ICR Reference No: 200712-0920-002
Status: Historical Active	Previous ICR Reference No: 200208-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Use of a Reader Response Postcard for Workers Notified of Results of Epidemiologic Studies Conducted by the National Institute for Occupational Safety and Health (NIOSH)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/21/2008
	Date Received in OIRA: 12/10/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved
Responses	8,000	0	0
Time Burden (Hours)	1,333	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NIOSH has the responsibility to "conduct (directly or by grants or contracts) research, experiments, and demonstrations relating to occupational safety and health..." Since 1977, NIOSH has been developing methods and materials for the notification of subjects of its epidemiological studies. NIOSH involvement in notifying workers of past exposures relates to informing surviving cohort members of the findings of retrospective cohort studies conducted by NIOSH. Current policy within NIOSH is to notify subjects of the results of its epidemiologic studies. The Industrywide Studies Branch of NIOSH, Division of Surveillance, Hazard Evaluation, and Field Studies usually conducts 2 to 3 notifications per year, which typically require individual letters mailed to cohorts ranging from 200-20,000 workers each. To assess the effectiveness of the notification materials and to improve future communication of risk information, the evaluation instrument proposed (a reader response evaluation card) was developed for routine use.

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Authorizing Statute(s): US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 29170	05/27/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 65736	11/23/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Use of a Reader Response Postcard for Workers Notified of Results of Epidemiologic Studies Conducted by NIOSH

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,000	0	0	8,000	0	0
Annual Time Burden (Hours)	1,333	0	0	1,333	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no change to this ICR; due to rising inflation costs, there is a higher cost to the respondent in filling out the Reader Response Card.

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Annual Cost to Federal Government: $2,490

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/07/2007

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